| NPI | 1134433253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHELLE CHRISTINE VASQUEZ Office Manager 805-381-1953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G33746) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2019-02-08 |